Individual provider Active NPI

Maura J. Lofaro, MD, FACOG

  • Gynecology Physician
  • Jackson, WY
National Provider Identifier
1669423273
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
5889A Issued in WY
Practice address
555 E. Broadway Ave.
Suite #201
Jackson, WY 83001-8640
Phone
(307) 734-1005
Fax
(307) 734-1165
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5889A WY
Gynecology Physician 207VG0400X 5889A WY Primary

Addresses

Primary practice location

555 E. Broadway Ave.
Suite #201
Jackson, WY 83001-8640

Mailing address

PO Box 1844
Jackson, WY 83001-1844
Phone (307) 734-1005

Other identifiers 2

IdentifierTypeStateIssuer
112421800MedicaidWY
805862900MedicaidID

Other names 1

  • Maura Lofaro Lofaro Harrower Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060428000519 ID Practitioner - Obstetrics/Gynecology 0749299642 Reassigns benefits to 1 organization
I20080129000095 WY Practitioner - Obstetrics/Gynecology 0749299642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gros Ventre OB-GYN LLPGroup PAC ID 2466541693, 4 clinicians

Practice addresses (Care Compare)

120 E Howard St
Driggs, ID 83422-5112
Phone (208) 354-2383

555 E Broadway
Suite 108
Jackson, WY 83001-5550
Phone (307) 734-1005

Hospital & facility affiliations

  • St Johns Medical Center Hospital, Jackson, WY, CCN 530015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Wyoming PC Obstetrics & Gynecology CurrentSince Sep 1, 2025 Accepting new patients
Gros Ventre OB/GYN, LLP Obstetrics & Gynecology CurrentSince Dec 1, 2007 Accepting new patients
Jackson Hole OBGYN PC Obstetrics & Gynecology Past Accepting new patients
Teton County Hospital District Past Accepting new patients

Locations

120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4ea2101b-bb2d-4211-bc53-3120cb72bcc5/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1669423273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1844",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830011844",
            "telephone_number": "307-734-1005",
            "fax_number": "307-734-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E. BROADWAY AVE.",
            "address_2": "SUITE #201",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018640",
            "telephone_number": "307-734-1005",
            "fax_number": "307-734-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFARO",
        "first_name": "MAURA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD, FACOG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "5889A",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WY",
            "license": "5889A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112421800",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805862900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAURA",
            "last_name": "LOFARO HARROWER",
            "middle_name": "LOFARO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, WY

Sources for this page

Verify at the official NPI Registry.